Most Relevant Information
Provider Data
| NPI Number: | 1003813478 |
| Provider Name: | KEVIN RAY BUCKWALTER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | A63401 |
Most Important Dates
| Enumeration Date: | 06/30/2005 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
7151 CASCADE VALLEY CT STE 200
LAS VEGAS
NV
891280498
Practice Location Phone/Fax
| Phone: | 7025688450 |
| Fax: | 7025688451 |
Provider Mailing Location
1280 MONUMENT BLVD
# 1
CONCORD
CA
945204405
Provider Mailing Phone/Fax
| Phone: | 9167336993 |
| Fax: | 9167336989 |
Suggested EMR
Family Practice EMR